elevated psa

can other factors create an elevated psa after prostectomy surgery? like cialis .
does a reading of .02 mean cancer is present?

[Ash Tewari, MD, M.Ch.]

A PSA 0.02 does not necessarily mean that metastases are present. ED drugs probably would not cause a PSA elevation. At 0.02 a retest may not be unreasonable. Although the definition of biochemical recurrence after prostate cancer surgery is 0.2 ng/mL.

Prediction of disease recurrence is based on several factors. Several investigators (including myself) have come up with patient friendly resources in understanding the chances of disease recurrence. These are often based on PSA level prior to treatment and biopsy/surgical pathology results.

Some helpful links are:

The Prostate Calculator which I helped developed: http://www.prostatecalculator.org/

and the MSKCC Prostate Nomogram: http://www.mskcc.org/mskcc/html/10088.cfm

Thank you for your question.

Sincerely,

Ashutosh (Ash) Tewari, MD

http://www.cornellroboticprostate.org

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